| NPI | 1154354918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 40489) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: HI MD13848) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2009-11-02 |